ROGER POTTS DENTAL GROUP, PC (NPI# 1093757437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093757437 |
| Entity Type | Organization |
| Organization Name | ROGER POTTS DENTAL GROUP, PC |
| Other Organization Name | GENTLE DENTAL MID DEL CITY |
| Practice Address |
304 S Air Depot Blvd Midwest City OK 73110-4433 |
| Mailing Address |
9800 S La Cienega Blvd Ste 899, Room 6 Inglewood CA 90301-4440 |
| Practice Telephone | 4057330002 |
| Practice Fax Number | 4057412230 |
| Mailing Telephone | 2094764700 |
| Mailing Fax Number | 2094786890 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2013-12-17 |
| Authorized Official Name | ROGER G POTTS (PC OWNER) |
| Authorized Official Telephone | 4057330002 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Gentle Dental Mid Del City | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033519012 | Roger Potts Dental Group, PC | Dentist | 1333 N Santa Fe Ave Ste 105, Edmond, OK 73003-3677 | 2014-08-27 |
| 1932396769 | Roger Potts Dental Group, PC | Dentist | 201 S Macarthur Blvd, Oklahoma City, OK 73128-1006 | 2007-09-25 |
| 1801838446 | Roger Potts Dental Group, PC | Dentist | 515 S Broadway, Edmond, OK 73034-3851 | 2006-06-11 |
| 1881636561 | Roger Potts Dental Group, PC | Dentist | 1740 N Service Rd, Moore, OK 73160-3307 | 2006-06-10 |
| 1699717371 | Roger Potts Dental Group, PC | Dentist | 6002 S Western Ave, Oklahoma City, OK 73139-1602 | 2006-06-10 |
| 1740355205 | Roger Potts Dental Group, PC | Dentist | 7001 N May Ave, Oklahoma City, OK 73116-3248 | 2006-11-21 |
| 1396787909 | Roger Potts Dental Group, PC | Dentist | 6401 Nw Expressway, Suite 100, Oklahoma City, OK 73132-5170 | 2006-06-11 |
| Street Address |
304 S AIR DEPOT BLVD |
| City | MIDWEST CITY |
| State | OK |
| Zip Code | 73110-4433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144256215 | Richard Fentem Jr. | Dentist | 304 S Air Depot Blvd, Midwest City, OK 73110-4433 | 2006-06-23 |
| 1568407997 | Thomas Basey | Dentist | 304 S Air Depot Blvd, Midwest City, OK 73110-4433 | 2006-06-19 |
| 1821031188 | Jorge Madamba | Dentist | 304 S Air Depot Blvd, Midwest City, OK 73110-4433 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939377 | Torry E Elston | Technician/Technologist | 5908 Se 15th St, Midwest City, OK 73110 | 2020-10-12 |
| 1083225783 | Daniel B Nguyen | Pharmacist | 1601 S Air Depot, Midwest City, OK 73110 | 2020-08-14 |
| 1114494903 | Tiandrea Jeanae Neal | Behavioral Analyst | 1212 S. Air Depot, Ste 17, Midwest City, OK 73110 | 2018-10-30 |
| 1467902593 | Brian Christopher Lewis | Case Manager/Care Coordinator | 8616 Cedar Ridge Drive, Midwest City, OK 73110 | 2016-10-13 |
| 1669839312 | National Iom, Pllc | Electrodiagnostic Medicine | 1205 S. Air Depot # 102, Midwest City, OK 73110 | 2016-01-26 |
| 1003292210 | Alexandrea Funston | Speech-Language Pathologist | 224 E Blossom Drive, Midwest City, OK 73110 | 2015-08-11 |
| 1184053399 | Ronya Caraway | Community/Behavioral Health | 7901 Ne 10th, B106, Midwest City, OK 73110 | 2013-11-07 |
| 1245678374 | Layfette Lamar Fletcher | Counselor | 405 Delia Street, Midwest City, OK 73110 | 2013-06-11 |
| 1114364163 | Kathryn Ann Gray | Social Worker | 1391 North Midwest Blvd., Midwest City, OK 73110 | 2013-05-31 |
| 1841542545 | Steven Atkins Akinnfest | Counselor | 417 Reed Place, Midwest City, OK 73110 | 2012-10-05 |
| Find all providers in zip 73110 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154988517 | Anthony Lynn Boon | Dentist | 9708 E Reno Ave, Midwest City, OK 73130-3502 | 2019-05-21 |
| 1326558628 | East Sooner Dental Partners Pllc | Dentist | 7100 Se 15th St, Midwest City, OK 73110-5234 | 2017-10-02 |
| 1821448242 | Leaha Nels | Dentist | 101 N Douglas Blvd Ste T, Midwest City, OK 73130-3328 | 2016-06-16 |
| 1942620885 | Okc Dental Health Associates, P.C. | Dentist | 1900 S Air Depot Blvd, Suite 1, Midwest City, OK 73110-5522 | 2014-04-18 |
| 1881034270 | Valeriya Vorozhko Knight | Dentist | 1200 N Air Depot Blvd, Midwest City, OK 73110-3334 | 2013-06-28 |
| 1487942876 | Brent Thomas Amaya | Dentist | 1991 S Douglas Blvd, Midwest City, OK 73130-6225 | 2011-07-19 |
| 1982866471 | Don Coley Dugan | Dentist | 8827 E Reno Ave Ste 202, Midwest City, OK 73110-7732 | 2008-06-26 |
| 1518126085 | Adam Charles Brewer | Dentist | 101 N Douglas Blvd, Ste T, Midwest City, OK 73130-3329 | 2008-06-09 |
| 1053515106 | Alan Cady | Dentist | 10825 Parke Pl, Midwest City, OK 73130-1009 | 2007-06-13 |
| 1194866830 | Steven Michael Kendrick | Dentist | 7215 E Reno, Midwest City, OK 73130 | 2007-02-08 |
| Find all providers in MIDWEST CITY | ||||
| City | MIDWEST CITY |
| Zip Code | 73110 |
Please comment or provide details below to improve the information on ROGER POTTS DENTAL GROUP, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.